Organization
3484875
Active
Organization
3484875
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GRIVAS (OWNER)
(516) 404-7263
Entity
Organization
Contact information
Practice address
5 N 4TH ST, NEW HYDE PARK, NY 11040-2925
(516) 404-7263
Mailing address
5 N 4TH ST, NEW HYDE PARK, NY 11040-2925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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